Standards for private organizations

2020 Edition

Adoption Services (AS) 1: Client-Centered Logic Model

The organization implements a program model that describes how resources and program activities will support the achievement of positive outcomes.

NA The organization only provides Foster Care to Adoption Services.

2020 Edition

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Purpose

Adoption programs establish permanent family relationships for children in need of permanency, and increase the well-being, functioning, and stability of children, birth parents, adoptive families, and adopted individuals.
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.

Logic models have been implemented for all programs and the organization has identified at least two outcomes for all its programs.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,  
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • Logic models need improvement or clarification; or
  • Logic models are still under development for some of its programs, but are completed for all high-risk programs such as protective services, foster care, residential treatment, etc.; or
  • At least one client outcome has been identified for all of its programs; or
  • All but a few staff have been trained on use of therapeutic interventions and training is scheduled for the rest; or
  • With few exceptions the policy on prohibited interventions is understood by staff, or the written policy needs minor clarification.
3
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Logic models need significant improvement; or
  • Logic models are still under development for a majority of programs; or
  • A logic model has not been developed for one or more high-risk programs; or
  • Outcomes have not been identified for one or more programs; or
  • Several staff have not been trained on the use of therapeutic interventions; or
  • There are gaps in monitoring of therapeutic interventions, as required; or
  • There is no process for identifying risks associated with use of therapeutic interventions; or
  • Policy on prohibited interventions does not include at least one of the required elements.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • Logic models have not been developed or implemented; or
  • Outcomes have not been identified for any programs; or
  • There is no written policy or procedures for the use of therapeutic interventions; or 
  • Procedures are clearly inadequate or not being used; or
  • Documentation on therapeutic interventions is routinely incomplete and/or missing; or
  • There is evidence that clients have been harmed by inappropriate or unmonitored use of therapeutic interventions.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Program logic model that includes a list of client outcomes and program outputs being measured
  • Procedures for the use of therapeutic interventions
  • Training curricula that addresses therapeutic interventions, as applicable
  • Documentation of training and/or certification related to therapeutic interventions, as applicable
  • Interviews may include:
    1. Program director
    2. Relevant personnel

 

AS 1.01

A program logic model, or equivalent framework, identifies:
  1. needs the program will address;
  2. available human, financial, organizational, and community resources (i.e. inputs);
  3. program activities intended to bring about desired results;
  4. program outputs (i.e. the size and scope of services delivered); 
  5. desired outcomes (i.e. the changes you expect to see in service recipients); and
  6. expected long-term impact on the organization, community, and/or system.
Examples: Please see the W.K Kellogg Foundation Logic Model Development Guide and COA’s PQI Tool Kit for more information on developing and using program logic models.  
 
Examples: Information that may be used to inform the development of the program logic model includes, but is not limited to: 
  1. needs assessments and periodic reassessments; 
  2. risks assessments; and
  3. the best available evidence of service effectiveness. 

 

AS 1.02

The logic model identifies client outcomes in at least two of the following areas:
  1. change in clinical status;
  2. change in functional status;
  3. health, welfare, and safety;
  4. permanency of life situation;
  5. quality of life;
  6. achievement of individual service goals; and
  7. other outcomes as appropriate to the program or service population.
Examples: Child and family serving organizations interested in pursuing contracts with public entities may consider tracking outcomes that align with nationally recognized indicators of quality in the areas of prevention, safety, permanency, and well-being including, but not limited to:
  1. percentage of cases in which placements remained permanent and stable;
  2. percentage of cases in which family relationships and connections were preserved;
  3. number of cases of recurring maltreatment;
  4. number of cases of maltreatment-related fatalities;
  5. number of families provided with prevention services; and
  6. percentage of children whose parents lack secure employment.

 

AS 1.03

The program:
  1. ensures staff are trained on therapeutic interventions prior to use of the interventions;
  2. monitors the use and effectiveness of therapeutic interventions;
  3. identifies potential risks associated with therapeutic interventions and takes appropriate steps to minimize risk, when necessary; and
  4. discontinues an intervention immediately if it produces adverse side effects or is deemed unacceptable according to prevailing professional standards.

Interpretation

This standard generally does not include informational or short-term counselling provided in relation to the adoption, but could include for example, therapy provided directly by the program for treating trauma, attachment issues, etc.
NA The program does not provide any therapeutic services directly to clients.